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Mrs. Suzanne Autrey Kelly, LPC,LCAS,CEAP,LEAP
Professional Counselor in Yadkinville, North Carolina
NPI 1366420192

Suzanne Autrey Kelly is a Professional Counselor based in Yadkinville, NC and is specialized in Professional. Suzanne Autrey Kelly practices in Yadkinville, NC and has the professional credentials of LPC,LCAS,CEAP,LEAP. The NPI Number for Suzanne Autrey Kelly is 1366420192 and holds a License No. 60 (North Carolina).

The current practice location address for Suzanne Autrey Kelly is 110 W Elm St, Yadkinville, NC and can be reached out via phone at 336-677-3991 and via fax at 336-677-1359.

Location: 110 W Elm St, Yadkinville, NC, 27055-5752
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366420192
Provider Name
Suzanne Autrey Kelly
Credential
LPC,LCAS,CEAP,LEAP
Provider Entity Type
Individual
Gender
Female
Address
110 W Elm St, Yadkinville, NC, 27055-5752
Phone Number
336-677-3991
Fax Number
336-677-1359
Provider Enumeration Date
01/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6112226 05 NC
1005H 01 NC BCBS OF NORTH CAROLINA
institution
Provider Business Practice Location Address Details
Address
110 W Elm St
City
Yadkinville
State
North Carolina
Zip
27055-1758
Phone Number
336-677-3991
Fax Number
336-677-1359
person
Provider Business Mailing Address Details
Address
110 W Elm St
City
Yadkinville
State
North Carolina
Zip
27055-1758
Phone Number
336-677-3991
Fax Number
336-677-1359
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
1070 (North Carolina)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
1223 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
60 (North Carolina)
Definition
Definition to come...
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